Once a problem has been defined,
public health officials then strategize different interventions that could be
implemented to prevent or treat the problem at hand. In the case of my topic, type 2 diabetes in children, there
are not many interventions in place because it is still fairly rare, but yet a
growing issue. Most interventions
aim to prevent or treat obesity, which is believed to be linked to type 2
diabetes occurring in children.
CARDIAC
Kids in Tennessee is an intervention program aimed at changing the eating and
exercise behaviors of elementary school children. The program also aims to involve families of
overweight/obese kids to learn about better eating habits and activity levels. The first part of this program is
nutritional intervention. The
children learn about different foods and how they affect their diet. The second part is physical activity
intervention where the kids engage in physical activity for 60 minutes. The final part is parental/family
participation in the activities.
KEY DETERMINANTS!!!!
There
are three different classifications of interventions: primary, secondary, and
tertiary. Primary intervention is
a prevention strategy to help a group of people before they get into a
situation that would need aid.
Secondary intervention is providing services to the at-risk group. Tertiary intervention is helping the
at-risk group after the fact.
A
possible intervention strategy for this topic can be health screenings for
children aged 10-19. These health
screenings should test for blood sugar levels, blood pressure levels, and
BMI. All these things indicate a
potential for being diagnosed with diabetes. If any of the results show that they are at risk, the doctor
will educate them on how to avoid becoming type 2 diabetic through nutritional
education and lifestyle education.
The stakeholders for this would be the children and doctors. The key determinants this intervention
will address would be biological.
This would be mostly a primary strategy, but the follow up with the doctor
would make it partly secondary because of the educational aspect.
Another
possible intervention could take place in schools. Local governments could pass a law pertaining to dining
options in school cafeterias.
School dining halls could be required to offer healthier food options
and meals. There could also be a
restriction on fatty foods being sold in the cafeteria; or the unhealthy food
could be eliminated all together.
This would be classified as a secondary strategy. There is actual physical intervention
being made. The key determinants
this would address would be environmental and economical. Stakeholders for this would be the
children, dining hall staff, local government, school board, and food supply
companies.
A
third intervention could be an educational program in schools. Schools can require their students to
participate in physical education classes and take health and nutrition
classes. Students would get at least 30 minutes of physical activity a
day. They will also learn about
their health and how to create a healthier life style for themselves. The key determinant this addresses is
environmental and social. This
strategy is educational and physical so it would be partly primary and partly
secondary. The stakeholders
involved would be the children, health and physical education teachers, school
board, and local governments.
Although
studies show educational programs are not always the most successful, I feel
that the third intervention involving education and gym in schools will be the
most successful. This strategy
requires the kids to be active for part of the day. They are able to get physical activity in school in case
they don’t get any at home. Here,
they are also able to learn about healthy lifestyles and eating habits. I feel like once kids become educated
on their health, they will be able to make conscious good decisions regarding it.
I liked you example of an existing intervention and your summary of intervention types. Do you think all children should have their blood sugar levels checked or perhaps just "at risk children" i.e. children with high BMIS? I like the healthy food idea as it benefits all children. I appreciate your selection of education as the most effective strategy because as you pointed out it could have lasting effects. I would like to know, however, what education and physical measures schools might already have. Perhaps they already have some but could use improvement!
ReplyDeleteHi Zoey,
ReplyDeleteNice work this week. You listed a very interesting current strategy from the literature, but what key determinants did it cover? You did a great job listing the 3 strategies to address our problem. You correctly pulled out the determinants and listed them as primary secondary or tertiary prevention strategies. I did wonder, where's your decision matrix? (that's the matrix we used in class where we tallied up numbers based on cost, feasibility, etc. etc.) Remember to use this in your final paper...you can just plug in the 3 interventions you came up with, then tally the numbers and see which emerges as the best intervention in this case.
Erin
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